MEDICARE: ROCKMAN EYE ASSOCIATES FORT MYERS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist

General Provider Information

NPI Number	:	1609634302
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROCKMAN EYE ASSOCIATES FORT MYERS LLC

Provider Business Mailing Address
First Line	:	16073 RAVINA WAY
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34110-3235
Country	:	US
Telephone Number	:	786-285-5263
Fax Number	:

Provider Business Practice Location Address
First Line	:	13300 S CLEVELAND AVE
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33907-3886
Country	:	US
Telephone Number	:	239-433-1121
Fax Number	:

Authorized Official
Title or Position	:	OPTOMETRIST/OWNER
Name	:	DR. JAKE ROCKMAN
Credential	:	O.D
Telephone Number	:	786-285-5263

Provider Enumeration Date	:	03/08/2024
Last Update Date	:	03/08/2024

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